AAPC Final Exam Test Questions/Answers:
1. In what year was HITECH enacted as part of the American Recovery and Reinvestment Act?
• 2009
2. What type of insurance is Medicare Part D?
• Prescription drug coverage available to all Medicare beneficiaries
3. The minimum necessary rule applies to
• Covered entities taking reasonable steps to limit use or disclosure of PHI
4. EHR stands for
• Electronic Health Record
5. Many coding professionals go on to find work as
• Consultants
6. Which cells produce hormones to regulate blood sugar?
• Pancreatic Islets
7. Which of the following are auditory ossicles?
• Stapes and incus
8. What is vernix caseosa?
• A white cheese like substance covering the fetus and newborn
9. A diagnostic tool in sleep medicine is
• Polysomnography
10. The word describing the presence of blood in the plural cavity
• Hemothorax
11. In the ICD_10_CM Alphabetic Index what is the code next to the main term called?
• Default code
12. What is the ICD_10_CM code for eyestrain?
• H53.10
13. What is the code for classical migraine?
• G43.119
14. A patient with a history of bilateral otitis media is not responsive to medical therapy. Given the history and
physical examination, the provider felt he was a candidate for bilateral myringotomy and tubes. The patient
went to the ASC for the procedure. The provider’s findings were bilateral chronic serous otitis media. What
diagnosis code is reported?
• H65.23
15. In the ED, a 50 year-old male complains of severe bloating and stomach cramps, some nausea, vomiting,
and diarrhea for the past four months. In the last three weeks, he has had pain in middle right side of his
back which radiates around his rib cage as well as stomach gurgling with massive pain. After examination,
the provider determines he has irritable bowel syndrome with diarrhea. What diagnosis code(s) is/are
reported?
• K58.0
16. Pneumonia due to adenovirus. What ICD_10_CM code is reported?
• J12.0
17. A patient is having surgery to repair a recurrent left inguinal hernia without obstruction. What ICD_10_CM
code is reported?
• K40.91
18. A patient is seen in the ED for having unprotected sexual intercourse a few months prior. She recently
found out that the individual she was with has HIV. She is only being tested for HIV. What ICD_10_CM
code is/are reported?
• Z11.4
19. What ICD_10_CM codes are reported for uncontrolled hypertension with stage 3 chronic kidney disease?
• I12.9, N18.30
, 20. The patient was given thrombolytic therapy for an acute myocardial infarction (STEMI) of the anterolateral
wall which converted to a NSTEMI. What ICD-10-CM code is reported?
• I21.09
21. Which statement is TRUE for reporting burn codes?
• The highest degree of burn is reported as the primary code
22. What ICD_10_CM codes are reported on the maternal record for a delivery of triplets that are all liveborn
at 32 weeks of pregnancy?
• O30.103, Z37.51, Z3A.32
23. The patient has a left ovarian pregnancy without intrauterine pregnancy. What ICD_10_CM codes are
reported?
• O00.202, Z3A.00
24. A patient is coming in for follow up of a second-degree burn on the left forearm. The provider notes the
burn is healing well. He is to come back in two weeks for continued care to checkup on the healing of the
burn. What ICD_10_CM codes are reported?
• T22.212D
25. A 28-year-old male was rushed to the ED after being found unconscious. Information from family
members indicated the patient had left a suicide note and taken a large amount of LSD (a hallucinogenic).
What ICD_10_CM codes are reported?
• T40.8X2A, R40.20
26. What is the correct HCPCS Level II code for parenteral nutrition solution amnio acid, 3.5%?
• B4168
27. What type of CPT code is “modifier 51 exempt” even though there is no modifier exempt symbol next to
it?
• Add on Codes
28. How are ambulance modifiers use
• They identify ambulance place of origin and destination
29. What is the correct CPT coding for a cystourethroscopy with brush biopsy of the renal pelvis?
• 52007
30. What is the correct CPT code for complicated nephrolithotomy on a patient with congenital kidney
abnormality?
• 50070
31. What is the correct diagnosis code to report initial treatment of an infected post procedural stitch abscess
of the right leg from a previous excision of a squamous cell carcinoma?
• T81.41XA
32. A patient presents to the ED physician with multiple burns. After examination the physician determines
the patient has third-degree burns of the anterior and posterior portion of his left leg, starting at the knee
extending above the ankle (12.5%). He also has third-degree burns of the anterior portion of the left side of
his chest (4.5%). The patient also has second-degree burns on left upper arm (7%). What ICD-10-CM
codes are reported?
• T24.392A, T21.31XA, T22.232A. T31.21
33. The patient has a suspicious lesion of the left jaw line. Clinical diagnosis of this lesion is unknown, but due
to the appearance, malignancy is a realistic concern. The lesion was excised into the subcutaneous fat
measuring 0.8 cm and margins of 0.1 cm on each side. Hemostasis was achieved using light pressure. The
wound was closed in layers using 5.0 Monocryl and 6.0 Prolene. Pathology revealed a nevus with clear
margins. What CPT and ICD-10-CM codes are reported?
• 12051, 11441-51, D22.39
1. In what year was HITECH enacted as part of the American Recovery and Reinvestment Act?
• 2009
2. What type of insurance is Medicare Part D?
• Prescription drug coverage available to all Medicare beneficiaries
3. The minimum necessary rule applies to
• Covered entities taking reasonable steps to limit use or disclosure of PHI
4. EHR stands for
• Electronic Health Record
5. Many coding professionals go on to find work as
• Consultants
6. Which cells produce hormones to regulate blood sugar?
• Pancreatic Islets
7. Which of the following are auditory ossicles?
• Stapes and incus
8. What is vernix caseosa?
• A white cheese like substance covering the fetus and newborn
9. A diagnostic tool in sleep medicine is
• Polysomnography
10. The word describing the presence of blood in the plural cavity
• Hemothorax
11. In the ICD_10_CM Alphabetic Index what is the code next to the main term called?
• Default code
12. What is the ICD_10_CM code for eyestrain?
• H53.10
13. What is the code for classical migraine?
• G43.119
14. A patient with a history of bilateral otitis media is not responsive to medical therapy. Given the history and
physical examination, the provider felt he was a candidate for bilateral myringotomy and tubes. The patient
went to the ASC for the procedure. The provider’s findings were bilateral chronic serous otitis media. What
diagnosis code is reported?
• H65.23
15. In the ED, a 50 year-old male complains of severe bloating and stomach cramps, some nausea, vomiting,
and diarrhea for the past four months. In the last three weeks, he has had pain in middle right side of his
back which radiates around his rib cage as well as stomach gurgling with massive pain. After examination,
the provider determines he has irritable bowel syndrome with diarrhea. What diagnosis code(s) is/are
reported?
• K58.0
16. Pneumonia due to adenovirus. What ICD_10_CM code is reported?
• J12.0
17. A patient is having surgery to repair a recurrent left inguinal hernia without obstruction. What ICD_10_CM
code is reported?
• K40.91
18. A patient is seen in the ED for having unprotected sexual intercourse a few months prior. She recently
found out that the individual she was with has HIV. She is only being tested for HIV. What ICD_10_CM
code is/are reported?
• Z11.4
19. What ICD_10_CM codes are reported for uncontrolled hypertension with stage 3 chronic kidney disease?
• I12.9, N18.30
, 20. The patient was given thrombolytic therapy for an acute myocardial infarction (STEMI) of the anterolateral
wall which converted to a NSTEMI. What ICD-10-CM code is reported?
• I21.09
21. Which statement is TRUE for reporting burn codes?
• The highest degree of burn is reported as the primary code
22. What ICD_10_CM codes are reported on the maternal record for a delivery of triplets that are all liveborn
at 32 weeks of pregnancy?
• O30.103, Z37.51, Z3A.32
23. The patient has a left ovarian pregnancy without intrauterine pregnancy. What ICD_10_CM codes are
reported?
• O00.202, Z3A.00
24. A patient is coming in for follow up of a second-degree burn on the left forearm. The provider notes the
burn is healing well. He is to come back in two weeks for continued care to checkup on the healing of the
burn. What ICD_10_CM codes are reported?
• T22.212D
25. A 28-year-old male was rushed to the ED after being found unconscious. Information from family
members indicated the patient had left a suicide note and taken a large amount of LSD (a hallucinogenic).
What ICD_10_CM codes are reported?
• T40.8X2A, R40.20
26. What is the correct HCPCS Level II code for parenteral nutrition solution amnio acid, 3.5%?
• B4168
27. What type of CPT code is “modifier 51 exempt” even though there is no modifier exempt symbol next to
it?
• Add on Codes
28. How are ambulance modifiers use
• They identify ambulance place of origin and destination
29. What is the correct CPT coding for a cystourethroscopy with brush biopsy of the renal pelvis?
• 52007
30. What is the correct CPT code for complicated nephrolithotomy on a patient with congenital kidney
abnormality?
• 50070
31. What is the correct diagnosis code to report initial treatment of an infected post procedural stitch abscess
of the right leg from a previous excision of a squamous cell carcinoma?
• T81.41XA
32. A patient presents to the ED physician with multiple burns. After examination the physician determines
the patient has third-degree burns of the anterior and posterior portion of his left leg, starting at the knee
extending above the ankle (12.5%). He also has third-degree burns of the anterior portion of the left side of
his chest (4.5%). The patient also has second-degree burns on left upper arm (7%). What ICD-10-CM
codes are reported?
• T24.392A, T21.31XA, T22.232A. T31.21
33. The patient has a suspicious lesion of the left jaw line. Clinical diagnosis of this lesion is unknown, but due
to the appearance, malignancy is a realistic concern. The lesion was excised into the subcutaneous fat
measuring 0.8 cm and margins of 0.1 cm on each side. Hemostasis was achieved using light pressure. The
wound was closed in layers using 5.0 Monocryl and 6.0 Prolene. Pathology revealed a nevus with clear
margins. What CPT and ICD-10-CM codes are reported?
• 12051, 11441-51, D22.39
